CONNIE FOWLKES

COLUMBUS, MS
NPI1386005478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA3116)
Enumeration Date2016-03-16
Last Update Date2016-03-16
Business Address
-- CONNIE FOWLKES COTA/L
310 EMERALD DR
COLUMBUS, MS 39702-5526
Phone number: 662-244-8823
Mailing Address
-- CONNIE FOWLKES COTA/L
310 EMERALD DR
COLUMBUS, MS 39702-5526
Phone number: